Assgn 1- WK2(A)

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Depressive DisordersThe National Institutes of Mental Health acknowledges that depression is one of the most common mental disorders in the United States. It is associated with significant disability, fiscal impact, and considerable personal suffering. It may have significant impact on the individual, their family, and their social network. The PMHNP must be capable of providing comprehensive care for depressive disorders, including both psychotherapy and psychopharmacologic approaches.This week, you will become ?captain of the ship? as you take full responsibility for a client with a depressive disorder. You will recommend psychopharmacologic treatment and psychotherapy, identify medical management needs and community support, and recommend follow-up plans. You will also explore how to obtain a DEA license and the responsibilities for safe prescribing and prescription monitoring.?Captain of the Ship? ? Depressive DisorderAs nurse practitioners strive to achieve full-autonomous practice across the country, it should be noted that many states grant this ability to practice independently to psychiatric mental health nurse practitioners. To that end, you will be engaging in projects this semester that assume that you are practicing in a state that allows full-practice authority for NPs, meaning that the PMHNP may be the ?captain of the ship? concerning caring for a patient population. The ?captain of the ship? is the one who makes referrals to specialists, coordinates care for their patients/clients, and is responsible and accountable for patient/client outcomes overall. This is a decided change from a few decades ago when physicians were the ?captain of the ship? and NPs played a peripheral role.In this Assignment, you will become the ?captain of the ship? as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with a depression disorder.Learning ObjectivesStudents will:ú Recommend psychopharmacologic treatments based on therapeutic endpointsfor clients with depression disordersú Recommend psychotherapy based on therapeutic endpoints for clients withdepression disordersú Identify medical management needs for clients with depression disordersú Identify community support resources for clients with depression disordersú Recommend follow-up plans for clients with depression disordersAssignment (Project)To prepare for this Assignment:Select an adult or older adult client with a depressive disorder you have seen inÿyour practicum.In 3?4 pages, write a treatment plan for your client in which you do the following:Describe the HPI and clinical impression for the client. Recommend psychopharmacologic ÿtreatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for ÿÿÿÿÿyour choices.Identify medical management needs, including primary care needs, specific to this client.Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client. Recommend a plan for follow-up intensity and frequency and collaboration with other providers including PCP or medical providerTip for the AssignmentThis week assignment, you will ‘captain the ship’ you are the provider and writing the diagnostic work-up and treatment plan for a patient with DEPRESSIVE DISORDER. You will develop plans for a patient that you have worked with in your practicum.A few comments about the ?Captain of the Ship? assignment. The spirit of the assignment is that you are directing the client?s care, not simply writing a paper about depressive disorder. When you are the team leader, it?s important to provide authoritative direction for other providers. In your treatment plan, it?s good to outline your collaboration with client?s other providers. Later in the quarter, you will have another opportunity to complete ?Captain of the Ship? project.I have attached an excellent example of a different Captain of the Ship project with this assignment and. Note that this assignment is on depressive disorder, not on Obsessive Compulsive.Learning ResourcesRequired ReadingsSadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock?s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.Chapterÿ8, ?Mood Disorders? (pp. 347?386)Gabbard, G. O. (2014). Gabbard?s treatment of psychiatric disorders (5th ed.). Washington, DC: American Psychiatric Publications.Chapter 12, ?Psychotherapy of Mood Disorders?Chapter 14, ?Pharmacological and Somatic Treatments for ÿÿÿÿÿMajor Depressive Disorder?American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.”Depressive Disorders”o Major Depressive Disordero Persistent Depressive Disorder (dysthymia)o Premenstrual Dysphoric Disordero Substance/Medication-Induced Depressive Disordero Depressive Disorder Due to Another Medical Conditiono Other Specified Depressive Disordero Unspecified Depressive DisorderStahl, S. M. (2014). Prescriber?s Guide: Stahl?s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press.Grieve, S. M., Korgaonkar, M. S., Koslow, S. H., Gordon, E., Williams, L. M. (2013). Widespread reductions in gray matter volume in depression. NeuroImage: Clinical, 3, 332-339. doi:10.1016/j.nicl.2013.08.016Lach, H. W., Chang, Y-P., & Edwards, D. (2010). Can older adults with dementia accurately report depression using brief forms? Reliability and validity of the Geriatric Depression Scale. Journal of Gerontological Nursing, 36(5), 30?37. doi:10.3928/00989134-20100303-01Steffens, D. C., McQuoid, D. R., & Potter, G. G. (2014). Amnestic mild cognitive impairment and incident dementia and Alzheimer’s disease in geriatric depression. International Psychogeriatrics, 26(12), 2029?2036. doi:10.1017/S1041610214001446Drug Enforcement Administration. (n.d.). Drug schedules. Retrieved June 14, 2016, from https://www.dea.gov/druginfo/ds.shtmlRequired MediaHagen, B. (Producer). (n.d.-b). Managing depression [Video file]. Mill Valley, CA: Psychotherapy.net.Optional ResourcesGabbard, G. O. (2014). Gabbard?s treatment of psychiatric disorders (5th ed.). Washington, DC: American Psychiatric Publications.Chapter 15, ?Brain Stimulation Treatments for Mood ÿÿÿÿÿDisorders?Ahern, E., & Semkovska, M. (2017). Cognitive functioning in the first-episode of major depressive disorder: A systematic review and meta-analysis. Neuropsychology, 31(1), 52?72. doi:10.1037/neu0000319Anderson, N. D., Damianakis, T., Kr”ger, E., Wagner, L. M., Dawson, D. R., Binns, M. A., . . . Cook, S. L. (2014). The benefits associated with volunteering among seniors: A critical review and recommendations for future research. Psychological Bulletin, 140(6), 1505?1533. doi:10.1037/a0037610Inoue, J., Hoshino, R., Nojima, H., Ishida, W., & Okamoto, N. (2016). Additional donepezil treatment for patients with geriatric depression who exhibit cognitive deficit during treatment for depression. Psychogeriatrics, 16(1), 54?61. doi:10.1111/psyg.12121Sachs-Ericsson, N., Corsentino, E., Moxley, J., Hames, J. L., Rushing, N. C., Sawyer, K., . . . Steffens, D. C. (2013). A longitudinal study of differences in late- and early-onset geriatric depression: Depressive symptoms and psychosocial, cognitive, and neurological functioning. Aging & Mental Health, 17(1), 1?11. doi:10.1080/13607863.2012.717253Shallcross, A. J., Gross, J. J., Visvanathan, P. D., Kumar, N., Palfrey, A., Ford, B. Q., . . . Mauss, I. B. (2015). Relapse prevention in major depressive disorder: Mindfulness-based cognitive therapy versus an active control condition. Journal of Consulting and Clinical Psychology, 83(5), 964?975. doi:10.1037/ccp0000050Wanklyn, S. G., Pukay-Martin, N. D., Belus, J. M., St. Cyr, K., Girard, T. A., & Monson, C. M. (2016). Trauma types as differential predictors of posttraumatic stress disorder (PTSD), major depressive disorder (MDD), and their comorbidity. Canadian Journal of Behavioural Science / Revue Canadienne Des Sciences Du Comportement, 48(4), 296?305. doi:10.1037/cbs0000056

 
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GUIA DE ESTUDIO 1

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T-1Demuestra dominio y destrezasÿÿsicomotoras al ejecutar el cuidado de enfermer¡a en eladulto con problemas comunes de salud.Objetivos CapacitantesDefine el ÿconcepto admisi¢nIdentificar los objetivos del proceso de admisi¢n.Examinar los factores a valorar en el proceso de admisi¢nEstablecer la responsabilidad del profesional de enfermer¡a durante el proceso de admisi¢n.Definici¢n concepto alta y trasladoEstablecer la responsabilidad del profesional de enfermer¡a durante el proceso de alta y trasladoExamina los diferentes tipos de ordenes m‚dicas y sus implicaciones para la pr ctica de enfermer¡a.Repasa tipos de documentaci¢n.

 
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PEDIATRIC ILLNESS AND CONDITIONS

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Chapter 40: Nursing Care of the Child With a Respiratory Disorder1. Gloria is an 8-year-old girl who is admitted to the pediatric unit with a history of cystic fibrosis and difficulty breathing. (Learning Objectives 3, 4, and 6)a. What would the nurse know to include in the health history?b. When conducting a physical assessment on Gloria, what will the nurse do in relation to the child?s cystic fibrosis?c. What tests would the nurse expect to be ordered for Gloria?2. Jimmy Jones, age 6, is diagnosed with asthma. He has been hospitalized for 3 days for an acute exacerbation and is scheduled to go home tomorrow. (Learning Objectives 9 and 10)a. What would the nurse know to include in a child/family teaching plan?b. How can asthma affect a child?s self esteem?Chapter 41: Nursing Care of the Child With a Cardiovascular Disorder1. Baby boy Ellis, 2 hours old, is being evaluated in the newborn nursery by the nursing staff. Findings include T 37øC; apical heart rate 140 bpm; respirations 58 breaths per minute; BP (arms) 70/47, (calves) 62/39; head circumference 34 cm; chest circumference 31 cm; length 48 cm; weight 2,700 g. The infant is crying. (Learning Objectives 1, 2, 3, 4, and 8)a. Based on the physical findings, what should be the nurse?s priority?b. What assessments/tests should the nurse expect to be done on this infant?c. What should the nurse include in the teaching plan for the parents of this infant?2. Jennifer Collins, 13 years old, is admitted to the pediatric floor with a diagnosis of probable acute rheumatic fever.a. What would the nurse include when performing an initial assessment?b. What tests would the nurse expect to be done on Jennifer?The diagnosis of acute rheumatic fever is confirmed.c. What would the nurse be sure to include in the discharge teaching plan for Jennifer and her family?Chapter 44: Nursing Care of the Child With a Neuromuscular Disorder1. Pamela Souza, 6 years old, was born with cerebral palsy. Pamela suffers from general spasticity, mental impairment, impaired vision and hearing, and hydrocephalus. She has been admitted to the pediatric unit for evaluation of intrathecal spasticity control. (Learning Objectives 2, 3, 4, and 6)a. Identify medications that might be used to help control Pamela?s spasticity.b. What information would the nurse include in the health history?c. What nursing interventions would be important in Pamela?s care?d. What information would be important to include in a teaching plan for Pamela and her family?2. Kyle Stephens, 15 years old, is brought to the emergency department by ambulance after a diving accident at a local lake. (Learning Objectives 1, 2, 3, 4, and 7)a. What nursing assessments would be important for Kyle?b. What diagnostic tests would the nurse expect to be ordered for Kyle?Kyle is found to have crushed vertebrae at the S4-5 level with a partially severed spinal cord.c. What would be important teaching points for Kyle and his family?Chapter 49: Nursing Care of the Child With an Endocrine Disorder1. Jalissa Twyman, 8 years old, was admitted to the pediatric intensive care unit with a closed head trauma after being involved in a bicycle/motor vehicle accident. Jalissa is unconscious. The nurses caring for Jalissa document a weight loss of 1.82 kg over a 24-hour period, decreased skin turgor, and dry mucous membranes. Urine output for the same 24-hour period is 3.5 L/m2. (Learning Objectives 1, 2, 3, 4, 5, and 7)a. What further assessments should the nurse perform on Jalissa?b. What laboratory tests would the nurse expect to be performed on Jalissa?c. What nursing interventions should be done for Jalissa?2. Aellai Gianopoulos, 13 years old, is brought to the clinic by her mother, who states that Aellai is losing her hair. Vital signs are as follows: T 98.4øF, HR 85, R 15, BP 121/78. Height is 64 in., and weight is 81.5 kg.Aellai has an olive complexion marred by acne, large brown eyes, and long black hair that is very thin on the top of her head. Her breasts are small and she has an abundance of hair on her arms and legs. She reached puberty approximately 6 months ago. (Learning Objective 1, 2, 3, 4, 5, 7, and 8)a. What other information should the nurse gather in the health history?b. What laboratory tests would the nurse expect to be ordered for Aellai?c. What should the nurse include in the teaching plan for Aellai and her family?

 
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Diet for Hypertension

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Attached are instructions and a sample

 
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Nurs 6551

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Assignment 1: Application ? Best PracticesFor over 20 years, the Women?s Health Initiative (WHI) study has conducted research trials to examine factors that impact risks and development of conditions that impact women such as heart disease, breast and colorectal cancer, and osteoporotic fractures in postmenopausal women. Health care providers use results from these trials to develop guidelines for delivering care to patients. In your role in clinical settings, you must be familiar with these guidelines, and you must be aware that through clinical practice, guidelines frequently evolve and change. Often, what is considered a best practice today might not be a best practice in the future. For this Assignment, you compare guidelines outlined in the WHI study to current best practices for assessing and managing conditions.By Day 7 of Week 11To Prepare:Review the Women?s Health Initiative website in this week?s Learning Resources. Select one disorder presented in this study.Locate a research article focused on women’s health issue that you have learned about on the Women’s Health Initiative project. Be sure that the research article you select is from a reputable source.Discuss the best practices presented in the article about the health issue. Explain if there are any differences in the literature about best practices about health issue.Explain whether you think the current best practices in the article you selected should be used in clinical practice. Support your position with evidence-based research.To Complete:Write a 2- to 3-page paper that addresses the following:Describe the disorder you selected from the Women?s Health Initiative study.Explain the current best practices for assessing and managing this disorder as suggested in the research article you selected.Compare the best practices presented in the WHI study to the current best practices presented in the article. Explain how the differences in best practices might impact women?s health.Explain whether you think the current best practices in the article you selected should be used in clinical practice. Support your position with evidence-based research.

 
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Individuals and a Family as a Client

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Mila Jefferies is a recently widowed 36-year-old mother of two children and the daughter of two aging parents in the southeastern United States. She and her children have recently relocated from an urban neighborhood to a rural town to care for her parents, Robert and Susan. The move involved a job change for Elizabeth, a change in schools for the children, and an increased distance from the family of the children?s deceased father. Mila?s older child is a 5-year-old daughter, recently diagnosed with autism spectrum disorder and dyslexia. The younger of the two children is a 3-year-old boy with asthma that has been difficult to control since the move. Robert is a 72-year-old?Methodist minister who recently suffered a stroke, leaving him with diminished motor function on his left side and difficulty swallowing. Susan is 68 years old and suffers from fibromyalgia, limiting her ability to assist with the daily care of her husband. She has experienced an increase in generalized pain, difficulty sleeping, and worsening fatigue since her husband?s stroke.Use the Neuman systems model as a conceptual framework to respond to the following:??Describe the Jefferies family as a client I system using each of the five variables.??What actual and potential stressors threaten the family? Which stressors are positive, and which are negative? Separate the actual and potential stressors that threaten the individual members of the family. Which of the stressors are positive, and which are negative???What additional nursing assessment data are needed considering Robert?s medical diagnoses? What additional data would be helpful for Susan?s medical diagnoses? What about each of the children???What levels of prevention intervention(s) are appropriate for the Jefferies family? Propose potential prevention intervention(s) for each member of the family.??Identify your nursing priorities if you were providing care to this family.

 
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Professional Communication

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The purpose of this assignment is to implement communication strategies for delivering negative news.Select one of the following scenarios:You have failed a course in your program major and you have been notified by the financial services office that you will be suspended from playing your collegiate sport and you may lose your university scholarship. Draft a professional email notifying your coach of the news.You are a sales team manager at GCU and your department has just notified you that a new technology is being implemented in the workplace. This software is a management and time tracking tool that provides an efficient and transparent view of work tasks and current clients. The current software the department is using is being discontinued which will require a manual migration of data from the old system to the new system. This is a very time intensive and challenging migration; it will require change and new training. Draft a professional email to your team notifying them of the news and try to get buy-in for this new technology.You are moving on to different professional horizons and you must notify your supervisor that you will be resigning your current job position. The timing is inconvenient as you have been groomed for a management position. Draft a professional email that notifies your supervisor of the news.You are a student that recently failed a high stakes assignment due to a misunderstanding. You are disputing the grade you received on the assessment and you have decided to email your professor. Draft a professional email to your instructor.Write a 100-250 word email responding to the scenario. Your email should have a subject or title line that is consistent with the content of the message. Incorporate the conventions related to delivering negative news by including the following elements:Buffer statementReasons for the situation or decisionNegative newsSuitable or desired resolutionRespectful closingWhile APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Materials if you need assistance.

 
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Qualitative data

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4 postsRe: Topic 2 DQ 1Qualitative research produces a variety of data, from a variety of sources. Data sources may be personal interviews (written or recorded), surveys, questionnaires, official documents or observation notes. To complicate matters, more often than not, there are numerous respondents or participants and multiple researchers. To extricate and code data from multiple data sources can be difficult, but made much easier if the data is organized appropriately. (Katherine B.2017)The vast majority of qualitative data is “Unstructured Data,” which includes documents, photographs, audio, and video.The simplest things we can do to improve the usability of unstructured data for analysis are:Convert it to a structured schema that can be evaluated with quantitative methods.Make it simple to find.On the first point, we can feed documents to full-text search engines such as Lucene, which make data retrieval simple. We can also design full text search engines to execute faceted searches, allowing us to attach Metadata facets (e.g., Author, Media Type, Creation Date, etc.) to enhance our quantitative research. The same search engine was used. (Bensal P and others?. 2010)On the second point, there are a variety of methods for converting qualitative Unstructured Data into Structured Data (which may be quantitatively examined). But it all relies on what you want to do with the Structured Data and how you get it. You can, for example, create n-grams (continuous sequences of words) and then analyze those n-grams to identify what the most common terms are within a subset of texts.You might wish to have someone manually transcribe all consumer references of a product when evaluating footage. There are already Machine Learning algorithms that can transcribe and recognize speech.Machine Learning and Deep Learning programs that can extract usable and reliable quantitative data from qualitative data will be extremely important in the future of analytics. However, manual methods such as employing Amazon Mechanical Turk, or a combination of both, are equally viable options for extracting Quantitative Structured Data from Qualitative Unstructured Data.Using 200-300 APA FORMAT with references to support this discussion,Qualitative data has been described as voluminous and sometimes overwhelming to the researcher. Discuss two strategies that would help a researcher manage and organize the data.

 
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Ethics in Research

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What part of the study was most personally impactful to you? and 2) connect all 3 ethical principles of the Belmont Report to the violation of those principles in the study.Instructions1. Watch the Belmont Report video on youtube. Explore the CDC site for the Tuskegee Syphilis Study, including the menu items to the left of the home page. 2. Create a video that answers the following questions: a) What part of the study was most personally impactful to you? and 2) connect all 3 ethical principles of the Belmont Report to the violation of those principles in the study. 3. Your video should be 5 minutes or less. 4. See the grading rubric embedded in the Video Assignment for grading criteria and points.

 
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Picot Question-In United States, How Does Having Availability Of Screening And Early Detection By Low-Dose Commupter Tomography Compared Without Having Them Affect The Number Of Patient Survival Rate Of Lung Cancer In The Near Future.

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Picot Question-In United States, How Does Having Availability Of Screening And Early Detection By Low-Dose Commupter Tomography Compared Without Having Them Affect The Number Of Patient Survival Rate Of Lung Cancer In The Near Future.

 
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